Dioms, PLLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

25803 Issued in TX

Legal business name

DIOMS, PLLC

Practice address

9676 Bartlett Cir Ste 950
Fort Worth, TX 76108-4469

Phone

(817) 945-2971

Fax

(817) 841-1074

NPI assigned

Sep 28, 2017

Organization subpart

Yes

Parent organization

DIOMS, PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mau K Pham, DDS, MD

Title

Owner

Phone

(817) 945-2971

Specialties & licenses 1

Addresses

Other names 1

• Expedition Oral Surgery Doing business as

Part of

Dioms PLLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508375965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9676 BARTLETT CIR STE 950",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084469",
            "telephone_number": "817-945-2971",
            "fax_number": "817-841-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9676 BARTLETT CIR STE 950",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084469",
            "telephone_number": "817-945-2971",
            "fax_number": "817-841-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIOMS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIOMS, PLLC",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MAU",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-945-2971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "25803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Expedition Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jude Dino
• Jessica Dinsmoor
• Jennifer Michelle Dinubila, ACNP
• Rachelle Dinwiddie
• Lisa Michelle Dinwoodie
• Direct Primary Care in Texas LLC
• Disc Clinic PLLC
• Loretta Disney, R.PH.
• Joanne Dispo, APRN-PMHNP
• Distinct 1 Therapy, PLLC

• Oral & Maxillofacial Surgery (D.M.D.) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.